Dear Lactnetters, Thank you all for the good suggestions and support. I have seen the family and: baby *was* 6lb 8oz at birth and in 95% at 2 months At 6 months she was in 75% No weight gain since 6 months when she was almost 9kg. Actually she's lost a about a pound in that time. But... She is a VERY mobile, active child. Weighs about 18 lbs now which is still almost triple her birth weight. She has fat folds on knees, feet, hands. Basically she looks and acts like a healthy normal little 9mo baby. If her mother hadn't told me that she hadn't gained weight in over 3 months I would have exclaimed on how *big* she is!!!! (None of my 4 children were 20 lbs until at least 18mo) Mother is having a tough time trying to express breastmilk. After getting new tubes for her PIS (somehow she had lactina tubes! - but it is a new pump that she bought when baby was born) Anyway, even with the new tubes she is getting less than 30ml pumping and baby only transferred approx 60ml in about 30 minutes of off and on (peek-a-boo) nursing. We tried several types of pumps over a period of time - Lactina, PIS, Whittlestone, Whisperwear and she gets milk, but less than 1 oz. Mother started MoreMilk Two (whatever was suggested, I forget right now) yesterday and is taking the drops every two hours religiously. Mother has stopped with the jars of baby food and has been doing as was suggested and cooking meats and adding olive oil. Actually tasted pretty good, but little one turned her nose up at it. Same with the Nutramigen we tried. She did go to town with a piece of bread, but her mother said she broke out in hives after I left. Her mother said the bread had milk in it. This child tired me out in the several hours I was there, she was so active! The good news is that the pediatrician she saw as very reasonable and reassuring. He agrees that she needs to gain weight but he also told the mother that it was not a crisis and that the baby was healthy. He countered the nurse practitioner's instructions to not give any water or juice since she wasn't taking any formula and becoming dehydrated. He also countered the instructions to wean immediately. He agreed that the small amount of breastmilk the baby was getting was better than nothing which is what she'd get if the mother tried to wean her. He told the mother she could try anything she wanted, i.e. soy milk, goats milk,... whatever she felt that the baby wouldn't be allergic to. He also agreed to a consult to a dietitian which I suggested. I was also able to contact the Air Force family services nurse and she will act to make sure the nurse practitioner is educated. So, while the situation is not resolved, it is at least calmed down and in perspective. Thanks again to all who responded! Regards, Cindi Swisher, RN, IBCLC *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html